Cholestech LDX Analyzer QC Log Sheet Ver 020226

Cholestech LDX Analyzer QC Log Sheet

Health Department: ______Month ______Year _____

Reagent Data Lot No. Closed vial expiration date Open vial expiration date

Calibration cassette - na -

High Level Control

Low Level Control

Cassette Calibration Cassette Checks Frequency: Each day of use

Expected Range to Date Pass/Fail Initials Tested Ch. 1 Ch. 2 Ch. 3 Ch. 4

Quality Control Results Frequency: Weekly and with each new lot of reagents Expected High - - - - Range Expected Low - - - - Range Date Total HDL- Triglycerides Whole Blood Tested Cholesterol Cholesterol Low - High Gucose Pass/ Fail Initials Low - High Low - High Low - High

Date Corrective Action: (use reverse side as needed)

______/____/______/____/____ Supervisor Review: Date: Laboratory Director Review: Date

RLF-46 Rev 6/9/2006